Composite Fillings vs. Traditional Fillings: A Patient’s Guide

Dentist holding and explaining a dental X-ray

Choosing the right dental fillings can feel overwhelming, especially with so many modern options available. If all you remember about fillings is the noticeable silver color someone used to have when they smiled, you’re not alone. Dentistry has advanced significantly, giving patients choices that blend beautifully with their teeth while still offering strong, reliable protection. At Northern Peaks Dental in Sandpoint, our tooth filling dentist is to help you understand your options so you can feel confident about your care and comfortable during every step of treatment.

What Are Dental Fillings?

Dental fillings are a common treatment used to repair cavities and restore the function and integrity of decayed teeth.

The two most commonly recommended filling materials are:

Traditional (Amalgam) Fillings
The American Dental Association (ADA) states that dental amalgam is a  safe, affordable, and durable filling material; however, it is facing increasing regulatory action in the U.S. and globally due to environmental concerns regarding mercury. While it remains effective and inexpensive, these environmental issues are prompting a shift away from its use.

Composite Fillings
Composite tooth fillings, also known as tooth-colored fillings, offer good durability and fracture resistance, making them suitable for small to mid-size fillings that endure moderate chewing pressure. They can be used on both front and back teeth and are an excellent choice for patients who prefer a more natural appearance. Composites are a more significant investment than amalgam and may not always be fully covered by insurance.

Both options are approved for use in dentistry and remain reliable for restoring teeth. They differ mainly in appearance, durability, and technique.

Composite Fillings: A Closer Look

Composite fillings have become increasingly desirable because of their natural appearance and versatility. Many patients appreciate how seamless they look, especially when repairing spots that are visible while speaking or smiling.

Potential Considerations

  • They can take longer than a metal filling and require the tooth to be kept clean and dry while the cavity is being filled.

Many patients in Sandpoint choose composite dental fillings because they want their dental work to appear as natural as possible without compromising on protection.

Traditional Amalgam Fillings

Although not tooth-colored, amalgam fillings remain a dependable choice, especially for back molars where chewing forces are strongest. They have been used for generations and are known for their long-lasting performance.

Potential Considerations

  • Our general dentist may need to remove more tooth structure to place an amalgam filling than for composite tooth fillings.

What’s Indirect and Direct Fillings?

  • Direct Filling: These are placed directly into the cavity after our tooth filling dentist cleans out the decay. Examples include amalgam (silver) and plastic (white) fillings. They harden quickly and, most of the time, can be completed in a single appointment.
  • Indirect Filling: This type of restoration includes examples like crowns (caps) and inlays. They are custom-made in a lab to fit your tooth and are cemented into place by our dentist. Most indirect fillings require two or more appointments to complete.

How Long Do Fillings Last?

The lifespan of a filling varies by material, oral hygiene habits, diet, and the location of the tooth. Composite fillings generally last several years with good care, while traditional fillings may last longer under the right conditions. Regular dental visits help us monitor your fillings and address any concerns promptly, ensuring your smile remains healthy and protected.

About Northern Peaks Dental: We provide gentle, modern dental care with a focus on patient comfort and prevention. Learn more about our approach here.

Real Experiences from Sandpoint Smiles

“I always get in on a timely manner, and the service is top-notch. I usually get nitrous oxide since I have very sensitive teeth. On the last visit, I didn’t have it since it was a small filling. Barely felt anything. Top-notch place.” – Idaho P.

Ready for a Healthier Smile?

Composite dental fillings offer a natural look and effective protection, while traditional fillings remain a durable choice. Call to book a consultation at (208) 597-7649!

FAQs About Dental Fillings in Sandpoint

Are white fillings safe?

Yes. Composite dental fillings are widely used and considered suitable for both adults and children. The materials used are BPA-safe and mercury-free. Both amalgam and composite are approved by the ADA and FDA, but composites provide a trusted metal-free option for those who prefer it. Want to learn more about this service? Check out our Tooth-Colored Fillings page now!

How do I prevent needing fillings?

The best dental filling is none at all, emphasizing that prevention is the right medicine. You can dramatically decrease your risk of cavities and disease by consistently practicing four simple habits: brushing twice daily with fluoride toothpaste, flossing every day, maintaining a balanced diet, and visiting our local and friendly dentist regularly for checkups.

Do composite fillings hurt?

Most patients experience only minimal discomfort during the composite tooth fillings procedure, often noticing only mild pressure or vibration. Afterward, slight sensitivity to hot or cold temperatures can occur for a few days but usually resolves quickly. If discomfort lasts longer than a week, contact our dentist for an adjustment at (208) 597-7649!

Why would metal fillings be recommended?

While most patients prefer composite dental fillings for esthetics, traditional amalgam can still be a strong and cost-effective choice for very large cavities or teeth under heavy chewing forces. The FDA and ADA continue to recognize amalgam as a trusted, durable material, especially when conditions make placing a resin filling difficult. Book a consultation to learn more through our Contact page!

How much do composite tooth fillings cost?

Costs vary depending on the tooth’s location, the size of the cavity, and the materials used. In general, our customized tooth-colored fillings are moderately priced and often covered in part by dental insurance. Our dentist can provide an individualized cost estimate and discuss flexible payment options during your visit. You can always explore or contact us about our insurance and financing options to see what we offer before you book!